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Oropharyngeal Mucositis – Pain Management


Authors: S. Vokurka
Authors‘ workplace: Hematologicko-onkologické oddělení, Fakultní nemocnice Plzeň
Published in: Klin Onkol 2011; 24(4): 278-280
Category: Reviews

Overview

Oropharyngeal mucositis is a clinically significant and painful complication of an intensive chemotherapy or head and neck radiotherapy. The management of a patient in risk of this complication must include appropriate and generally recommended prophylactic measures. An effective and safe treatment must be offered to patients who have developed oropha­ryngeal mucositis. The basic care involves local mouthwashes, sprays or viscous gels with variable effect on pain reduction. In more serious cases, tramadol and morphine are the drugs of choice; transdermal fentanyl or buprenorphine can be considered as an alternative. Pain management must be individualized.

Key words:
mucositis – pain – analgesics – fentanyl – buprenorphine


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Paediatric clinical oncology Surgery Clinical oncology
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